Individual
KIMBERLY Y WILLIAMS COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
910 MADISON AVE STE 922, MEMPHIS, TN 38163-3118
(901) 448-5630
Mailing address
5154 STAGE RD STE 102, MEMPHIS, TN 38134-3118
(901) 372-9133
(901) 372-1015
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
P2914
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08650505
—
MS
05
—
228484719
—
AR
05
—
Q034995
—
TN
Enumeration date
06/27/2017
Last updated
07/21/2022
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